Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 171912 | NY |
NPI | 1023018801 |
---|---|
Provider Name | Dr. Phoebe E Rabbin |
First Address | New York, NY 10016-4974 |
Second Address | New York, NY 10016-4974 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/07/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F43677 | (02) | NY |